JOHN F DONOVAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

CANCELLED

Business

First Name

JOHN

Middle

Last Name

DONOVAN

Suffix

Business Name

JOHN F DONOVAN MD

Original Issue Date

05/21/1999

Effective Date

05/21/1999

Expiration Date

07/31/2005

City

RED BUD

State

Zip

62278

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006